Dr. Pepe’s Diploma Casebook: Case 22


Dear Friends,

As some of you may be taking the Diploma examination during ECR 2013, I’d like to introduce a new type of post that I call ‘Face the Examiner’. Its purpose is to simulate a real examination: images will be shown and you will be asked to describe the findings. You should then offer a differential diagnosis and suggest a procedure that will confirm your preferred option.

The only difference with respect to a real examination is that you will be given the correct answers during the exercise. I’ll try to keep it simple by not giving long lists of possible diagnoses and by making sure the possibilities are coherent with the imaging features.

Our first ‘Face the Examiner’ case concerns preoperative chest radiographs in a 75-year-old man with prostate carcinoma.